Tag:

fraud

Latest Headlines

Latest Headlines

Embezzlement prevention: Checks and balances for everyone

No doctor wants to think that someone as trusted and integral to their practice as their office manager would steal from them, but stories of precisely that happen all too frequently.

GOP lawmakers raise concerns about Medicare fraud

The Centers for Medicare & Medicaid Services is not taking appropriate action against the use of shell companies and dummy store fronts, according to Republican lawmakers. A group of Senators and

Medicare fraud detection system disappoints

A computer initiative to stop fraudulent Medicare billing at the point of claims submission has so far been a disappointment, reported the Associated Press. To date, the $77 million computer system,

CMS aims to stop provider identity theft

With a careful eye on fraud and abuse, the Centers for Medicare & Medicaid Services (CMS) has created the provider victim validation/remediation initiative to help prevent medical fraud. The

Cost reform saves state Medicaid program $600M

Cost reform initiatives brought into New York's Medicaid program have saved it $600 million so far in 2011, reports WTEN. The program's cost containment included 73 mandates from the state's Medicaid

Docs to revalidate Medicare enrollment with CMS anti-fraud efforts

If you enrolled to participate in Medicare anytime prior to March 25, 2011, be on the lookout for a letter from your Medicare Administrative Contractor (MAC) requesting you revalidate your

Alleged fraud uncovered during EMR training

In a recently unsealed lawsuit in Florida, Dr. Juan Domingo, an internist formerly with Lee Physician Group, a division of Lee Memorial Health System, accuses his past employer of not only

State telehealth network slammed in fraud scandal

Community Health Network, which runs Tennessee's telehealth program, has been hit with serious fraud allegations, and may ultimately have to shut down, reports FierceHealthFinance. State

CMS enters tech pact to reduce Medicare claims fraud

The Centers for Medicare & Medicaid Services (CMS) has contracted with aerospace and defense technology company Northrop Grumman to create a predictive model that is expected to cut down on

Physical therapist pleads guilty to $7.3M Medicare fraud

A New York-area physical therapist pleaded guilty to federal charges of defrauding the Medicare program out of more than $7 million, highlighting the need for greater transparency in physician